Kacey R Moody, PTA
NPI #1497292817 in West Plains, Missouri
Provider Information
- NPI Number
- 1497292817
- Entity Type
- Individual
- Name
- Kacey R Moody, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 23, 2017
- Last Updated
- Jan 23, 2017
Practice Location
- Address
- 2508 MELISSA PL
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-4403
- Phone
- (573) 717-6773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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